Organization
CRA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE LYNN VALETE (EXECUTIVE DIRECTOR)
(217) 693-7494
Entity
Organization
Contact information
Practice address
816 WYATT AVE, LINCOLN, IL 62656-3145
(217) 735-5203
Mailing address
4102 FARHILLS DR, CHAMPAIGN, IL 61822-9301
(217) 693-7494
(734) 342-6402
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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